DR. HENRY J MARION MD
NPI 1760490841
Family Medicine in Swansea, SC

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
83.03/100
CMS Quality Rating
935 W 2ND ST, SWANSEA, SC 29160(803) 568-2000(803) 568-4190 Get Directions Write a Review

NPPES record last updated: November 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2020, Oct 1, 2020, Jun 7, 2017 (3 updates tracked since 2017).

About Dr. Henry J Marion Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HENRY J MARION MD (NPI 1760490841) is an individual family medicine provider in Swansea, South Carolina, licensed in South Carolina (11904) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Lexington Medical Center, and is a graduate of University Of South Carolina School Of Medicine (1983).

NPPES Registry Identity

NPI1760490841
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HENRY J MARIONCredential: MD
Location Address935 W 2ND STSwansea, SC 29160-8665
Mailing AddressPo Box 6069West Columbia, SC 29171-6069
Fax(803) 568-4190
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1983
Enumeration DateAugust 4, 2006
Last NPPES UpdateNovember 9, 20203 updates tracked since enumeration
NPPES CertifiedNovember 9, 2020
NPI 1760490841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in SC · 11904
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
935 W 2ND ST, Swansea, SC 29160

Other Identifiers 1

Medicaid119044SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Henry J Marion Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870541238
PECOS Enrollment IDI20050112000412
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
57 services51 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
40 services32 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
38 services34 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lexington Medical Center

Acute Care Hospitals · West Columbia, SC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420073
Location2720 Sunset BlvdWest Columbia, SC 29169 · Lexington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.45
Promoting Interoperability89
Improvement Activities40
Cost72.17

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers16 claims29 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims13 services$1.06 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers16 claims16 services$197.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Sports Medicine)
935 W 2ND ST
SWANSEA, SC 29160
Family Medicine
935 W 2ND ST
SWANSEA, SC 29160
Clinic/Center (Rural Health)
935 W 2ND ST
SWANSEA, SC 29160
Nurse Practitioner (Family)
935 W 2ND ST
SWANSEA, SC 29160
Nurse Practitioner
935 W 2ND ST
SWANSEA, SC 29160
Nurse Practitioner (Family)
935 W 2ND ST
SWANSEA, SC 29160
Nurse Practitioner (Family)
935 W 2ND ST
SWANSEA, SC 29160
Family Medicine
935 W 2ND ST
SWANSEA, SC 29160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henry Marion's NPI number?

The NPI number for Henry Marion is 1760490841. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Henry Marion located?

Henry Marion practices at 935 W 2nd St, Swansea, SC 29160. The listed phone number is (803) 568-2000.

What is Henry Marion's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Henry Marion enrolled in Medicare?

Yes. Henry Marion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Henry Marion accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Henry Marion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Henry Marion affiliated with any hospitals?

According to CMS data, Henry Marion is affiliated with Lexington Medical Center.

When was this NPI record last updated?

The NPPES record for Henry Marion was last updated on November 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.